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presented by Kendrea L. (Focht) Garand, PhD, CScD, CCC-SLP, BCS-S
The ALS Association Alabama Chapter receives compensation for this course.
Financial: Kendrea Garand received an honorarium as advisory board member and contributor to the content provided in this course from the ALS Association Alabama Chapter. Garand received a grant from the Mitsubishi Tanabe Pharma America and salary support from University of South Alabama. There is no other financial interest beyond the production of this course.
Nonfinancial: Kendrea Garand is a member of the Northeast ALS Consortium (NEALS). She has no other competing nonfinancial interests or relationships with regard to the content presented in this course. She
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
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Kendrea L. (Focht) Garand, PhD, CScD, CCC-SLP, BCS-S
Dr. Kendrea Garand is currently an assistant professor in the Department of Speech Pathology and Audiology in the College of Allied Health Professions at the University of South Alabama. Further, she is the founder and director of the Swallowing Disorders Initiative Research Laboratory. She holds board certification in swallowing and swallowing disorders (BCS-S) and serves…
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1. Impact of ALS on Swallowing Function
In the first chapter, Dr. Garand will review how ALS impacts swallowing function, as well as common signs and symptoms observed when dysphagia is present. An overview of key members of the interdisciplinary care team will be provided, including the role of the speech-language pathologist (SLP).
2. Assessment of Dysphagia in ALS
In the second chapter, best-practice guidelines for assessment of swallowing function will be presented, with each component examined more in depth using available evidence. Video excerpts from patients with ALS will be used to highlight impairments.
3. Management of Dysphagia in ALS
In this chapter, Dr. Garand will challenge the tradition of a “don’t touch” approach when managing dysphagia in ALS. She’ll present evidence-based strategies that push the clinician to take a proactive approach to dysphagia management, including review of compensatory strategies, emerging restorative strategies, and patient care education.
4. Additional Considerations
In the final course chapter, the importance of adequate nutrition, hydration, and oral hygiene for patients with ALS will be discussed, with special attention to impacts on survival and quality of life. Discussion will also include the role of a feeding tube, as well as adaptive equipment used to promote oral intake and oral care.
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